Each year, an average of 430 Americans die from unintentional carbon monoxide poisoning, and there are more than 20,000 visits to the emergency room with more than 4,000 hospitalizations. Carbon monoxide-related deaths are highest during colder months. These deaths are likely due to increased use of gas-powered furnaces and alternative heating, cooking, and power sources used inappropriately indoors during power outages.

Never use a generator, grill, camp stove or other gasoline, propane, natural gas or charcoal-burning devices inside a home, garage, basement, crawlspace or any partially enclosed area. Locate unit away from doors, windows, and vents that could allow carbon monoxide to come indoors. Keep these devices at least 20 feet from doors, windows, and vents.

The primary hazards to avoid when using alternate sources for electricity, heating or cooking are carbon monoxide poisoning, electric shock, and fire.

Install carbon monoxide alarms in central locations on every level of your home and outside sleeping areas to provide early warning of accumulating carbon monoxide.

If the carbon monoxide alarm sounds move quickly to a fresh air location outdoors or by an open window or door.

Call for help from the fresh air location and remain there until emergency personnel arrives to assist you.

*Tips provided by ready.gov for more snowstorm and extreme cold information visit Ready.gov.

If possible, avoid using your parking brake in cold, rainy and snowy weather.

Do not use cruise control when driving on any slippery surface (wet, ice, sand).

Always look and steer where you want to go.

Use your seat belt every time you get into your vehicle.

TIPS FOR LONG-DISTANCE WINTER TRIPS

Watch weather reports prior to a long-distance drive or before driving in isolated areas. Delay trips when especially bad weather is expected. If you must leave, let others know your route, destination and estimated time of arrival.

Always make sure your vehicle is in peak operating condition.

Keep at least half a tank of gasoline in your vehicle at all times.

Pack a cellular telephone, blankets, gloves, hats, food, water and any needed medication in your vehicle.

If you become snow-bound, stay with your vehicle. It provides temporary shelter and makes it easier for rescuers to locate you. Don’t try to walk in a severe storm. It’s easy to lose sight of your vehicle in blowing snow and become lost.

Don’t over exert yourself if you try to push or dig your vehicle out of the snow.

Tie a brightly colored cloth to the antenna or place a cloth at the top of a rolled up window to signal distress. At night, keep the dome light on if possible. It only uses a small amount of electricity and will make it easier for rescuers to find you.

Make sure the exhaust pipe isn’t clogged with snow, ice or mud. A blocked exhaust could cause deadly carbon monoxide gas to leak into the passenger compartment with the engine running.

Use whatever is available to insulate your body from the cold. This could include floor mats, newspapers or paper maps.

If possible run the engine and heater just long enough to remove the chill and to conserve gasoline.

TIPS FOR DRIVING IN THE SNOW

Accelerate and decelerate slowly. Applying the gas slowly to accelerate is the best method for regaining traction and avoiding skids. Don’t try to get moving in a hurry. And take time to slow down for a stoplight. Remember: It takes longer to slow down on icy roads.

The normal dry pavement following distance of three to four seconds should be increased to eight to ten seconds. This increased margin of safety will provide the longer distance needed if you have to stop.

Know your brakes. If you have anti-lock brakes (ABS) and need to slow down quickly, press hard on the pedal-it’s normal for the pedal to vibrate a bit when the ABS is activated.

Don’t stop if you can avoid it. There’s a big difference in the amount of inertia it takes to start moving from a full stop versus how much it takes to get moving while still rolling. If you can slow down enough to keep rolling until a traffic light changes, do it.

Don’t power up hills. Applying extra gas on snow-covered roads just starts your wheels spinning. Try to get a little inertia going before you reach the hill and let that inertia carry you to the top. As you reach the crest of the hill, reduce your speed and proceed downhill as slowly as possible.

Don’t stop going up a hill. There’s nothing worse than trying to get moving up a hill on an icy road. Get some inertia going on a flat roadway before you take on the hill.

Stay home. If you really don’t have to go out, don’t. Even if you can drive well in the snow, not everyone else can. Don’t tempt fate: If you don’t have somewhere you have to be, watch the snow from indoors.

Avoid overexertion when shoveling snow. Overexertion can bring on a heart attack-a major cause of death in the winter. Use caution, take breaks, push the snow instead of lifting it when possible, and lift lighter loads.

Signs of Frostbite: Occurs when the skin and body tissue just beneath it freezes. Loss of feeling and white or pale appearance in extremities, such as fingers, toes, earlobes, face, and the tip of the nose.

What to Do: Cover exposed skin, but do not rub the affected area in an attempt to warm it up. Seek medical help immediately.

The U.S Centers for Disease Control and Prevention (CDC) recommends, if you detect symptoms of frostbite, seek medical care. Because frostbite and hypothermia both result from exposure, first determine whether the victim also shows signs of hypothermia. Hypothermia is a more serious medical condition and requires emergency medical assistance.

What to Do: If symptoms of hypothermia are detected take the person’s temperature. If it is below 95°, seek medical attention immediately. Get the victim to a warm location. Remove wet clothing. Warm the center of the body first by wrapping the person in blankets or putting on dry clothing. Give warm, non-alcoholic beverages if the victim is conscious. Seek medical help immediately.

Drive only if it is absolutely necessary. If you must drive: travel in the day; don’t travel alone; keep others informed of your schedule; stay on main roads and avoid back road shortcuts.

Let someone know your destination, your route, and when you expect to arrive. If your car gets stuck along the way, help can be sent along with your predetermined route.

If the pipes freeze, remove any insulation or layers of newspapers and wrap pipes in rags. Completely open all faucets and pour hot water over the pipes, starting where they were most exposed to the cold (or where the cold was most likely to penetrate).

Maintain ventilation when using kerosene heaters to avoid build-up of toxic fumes. Refuel kerosene heaters outside and keep them at least three feet from flammable objects.

Conserve fuel, if necessary, by keeping your residence cooler than normal. Temporarily close off heat to some rooms.

If you will be going away during cold weather, leave the heat on in your home, set to a temperature no lower than 55ºF.

STAY OR GO

Stay:

If stuck on the road to avoid exposure and/or rescue is likely

If a safe location is neither nearby or visible

If you do not have appropriate clothing to go outside

If you do not have the ability to call for help

Go:

If the distance to call for help is accessible.

If you have visibility and outside conditions are safe.

If you have appropriate clothing.

Once the storm has passed, if you are not already home, follow instructions from your local transportation department and emergency management agency to determine which route will be safest for you to get home. Drive with extra caution.

DRESS FOR THE WEATHER

If you must go outside, wear several layers of loose-fitting, lightweight, warm clothing rather than one layer of heavy clothing. The outer garments should be tightly woven and water repellent.

Wear mittens, which are warmer than gloves.

Wear a hat. A hat will prevent loss of body heat.

Cover your mouth with a scarf to protect your lungs.

STRANDED IN A VEHICLE

If a blizzard traps you in the car:

Pull off the highway. Turn on hazard lights and hang a distress flag from the radio antenna or window.

Remain in your vehicle where rescuers are most likely to find you. Do not set out on foot unless you can see a building close by where you know you can take shelter. Be careful; distances are distorted by blowing snow. A building may seem close, but be too far to walk to in deep snow.

Run the engine and heater about 10 minutes each hour to keep warm. When the engine is running, open a downwind window slightly for ventilation and periodically clear snow from the exhaust pipe. This will protect you from possible carbon monoxide poisoning.

Exercise to maintain body heat, but avoid overexertion. In extreme cold, use road maps, seat covers, and floor mats for insulation. Huddle with passengers and use your coat for a blanket.

Take turns sleeping. One person should be awake at all times to look for rescue crews.

Be careful not to waste battery power. Balance electrical energy needs - the use of lights, heat, and radio - with supply.

Turn on the inside light at night so work crews or rescuers can see you.

If stranded in a remote area, stomp large block letters in an open area spelling out HELP or SOS and line with rocks or tree limbs to attract the attention of rescue personnel who may be surveying the area by airplane.

Leave the car and proceed on foot - if necessary - once the blizzard passes.

*Tips provided by ready.gov for more snowstorm and extreme cold information visit Ready.gov.

Before winter approaches, add the following supplies to your emergency kit:

Rock salt or more environmentally safe products to melt ice on walkways. Visit the Environmental Protection Agency for a complete list of recommended products.

Sand to improve traction.

Snow shovels and other snow removal equipment.

Sufficient heating fuel. You may become isolated in your home and regular fuel sources may be cut off. Store a good supply of dry, seasoned wood for your fireplace or wood-burning stove.

Adequate clothing and blankets to keep you warm.

Make a Family Communications Plan. Your family may not be together when disaster strikes, so it is important to know how you will contact one another, how you will get back together and what you will do in case of an emergency.

An NOAA Weather Radio broadcasts alerts and warnings directly from the NWS for all hazards. You may also sign up in advance to receive notifications from your local emergency services.

Download FEMA’s Be Smart. Know Your Alerts and Warnings for a summary of notifications at Ready.gov. Free smartphone apps, such as those available from FEMA and the American Red Cross, provide information about finding shelters, providing first aid, and seeking assistance for recovery.

Winter brings inclement weather and cold temperatures here are some valuable tips on how to keep your children safe and warm.

KEEPING CHILDREN WARM IN COLD TEMPERATURES

Dress infants and children warmly for outdoor activities. Several thin layers will keep them dry and warm. Don't forget warm boots, gloves or mittens, and a hat

The rule of thumb for older babies and young children is to dress them in one more layer of clothing than an adult would wear in the same conditions.

When riding in the car, babies and children should wear thin, snug layers rather than thick, bulky coats or snowsuits.

Blankets, quilts, pillows, bumpers, sheepskins and other loose bedding should be kept out of an infant's sleeping environment because they are associated with suffocation deaths and may contribute to Sudden Infant Death Syndrome (SIDS). It is better to use sleep clothing like one-piece sleepers or wearable blankets.

If a blanket must be used to keep a sleeping infant warm, it should be thin and tucked under the crib mattress, reaching only as far as the baby's chest, so the infant's face is less likely to become covered by bedding materials.

HYPOTHERMIA

Hypothermia develops when a child's temperature falls below normal due to exposure to colder temperatures. It often happens when a youngster is playing outdoors in extremely cold weather without wearing proper clothing or when clothes get wet. It can occur more quickly in children than in adults.

As hypothermia sets in, the child may shiver and become lethargic and clumsy. Speech may become slurred and body temperature will decline in more severe cases.

If you suspect your child is hypothermic, call 911 at once. Until help arrives, take the child indoors, remove any wet clothing, and wrap him in blankets or warm clothes.

FROSTBITE

Frostbite happens when the skin and outer tissues become frozen. This condition tends to happen on extremities like the fingers, toes, ears, and nose. They may become pale, gray and blistered. At the same time, the child may complain that his/her skin burns or has become numb.

If frostbite occurs, bring the child indoors and place the frostbitten parts of her body in warm (not hot) water. 104° Fahrenheit (about the temperature of most hot tubs) is recommended. Warm washcloths may be applied to frostbitten nose, ears, and lips.

Do not rub the frozen areas.

After a few minutes, dry and cover the child with clothing or blankets. Give him/her something warm to drink.

If the numbness continues for more than a few minutes, call your doctor.

WINTER HEALTH

If your child suffers from winter nosebleeds, try using a cold air humidifier in the child's room at night. Saline nose drops or petrolatum may help keep nasal tissues moist. If bleeding is severe or recurrent, consult your pediatrician.

Many pediatricians feel that bathing two or three times a week is enough for an infant's first year. More frequent baths may dry out the skin, especially during the winter.

Cold weather does not cause colds or flu. But the viruses that cause colds and flu tend to be more common in the winter when children are in school and are in closer contact with each other. Frequent hand washing and teaching your child to sneeze or cough into the bend of her elbow may help reduce the spread of colds and flu.

Children 6 months of age and up should get the influenza vaccine to reduce their risk of catching the flu. It is not too late to get the vaccine! Around 80% of all influenza illness generally occurs in January, February, and March.

WINTER SPORTS & ACTIVITIES

Set reasonable time limits on outdoor play to prevent hypothermia and frostbite. Have children come inside periodically to warm up.

ICE SKATING

Allow children to skate only on approved surfaces. Check for signs posted by local police or recreation departments, or call your local police department to find out which areas have been approved.

SLEDDING

Sledding feet first or sitting up, instead of lying down head-first, may prevent head injuries.

Consider having your child wear a helmet while sledding.

Use steerable sleds, not snow disks or inner tubes.

Sleds should be structurally sound and free of sharp edges and splinters, and the steering mechanism should be well lubricated.

Sled slopes should be free of obstructions like trees or fences, be covered in snow not ice, not be too steep (slope of less than 30º), and end with a flat runoff.

Avoid sledding in crowded areas.

SNOW SKIING & SNOWBOARDING

Children should be taught to ski or snowboard by a qualified instructor in a program designed for children.

Never ski or snowboard alone.

Young children should always be supervised by an adult. Older children's need for adult supervision depends on their maturity and skill. If older children are not with an adult, they should always at least be accompanied by a friend.

All skiers and snowboarders should wear helmets. Ski facilities should require helmet use, but if they do not, parents should enforce the requirement for their children.

Equipment should fit the child. Skiers should wear safety bindings that are adjusted at least every year. Snowboarders should wear gloves with built-in wrist guards. Eye protection or goggles should also be used.

Slopes should fit the ability and experience of the skier or snowboarder. Avoid crowded slopes.

When the temperature drops, older adults run a higher risk of health problems and injuries related to the weather, including hypothermia, frostbite, and falls in ice and snow. Like most things in life, it is better to be prepared. Here are a few precautions everyone should take, especially older adults, this time of year.

HYPOTHERMIA

Hypothermia occurs when your body temperature drops to a dangerous level. Your body temperature can drop when you are out in the cold for an extended time because it begins to lose heat quickly. Older adults are at an increased risk of hypothermia due to changes that happen to your body with aging.

Warning Signs:

Cold skin that is pale or ashy

Feeling very tired, confused and sleepy

Feeling weak

Problems walking

Slowed breathing or heart rate

Call 911 if you think you or someone else has hypothermia. Shivering is not a reliable warning sign because older people tend to shiver less or not at all when their body temperature drops.

FROSTBITE

Frostbite occurs when your body experiences damage to the skin that can go all the way down to the bone. Not surprisingly, extreme cold can cause frostbite. It is most likely to occur on body parts farthest away from your heart. Common places include your nose, ears, cheeks, chin, fingers, and toes. In severe cases, frostbite can result in loss of limbs. People with heart disease and other circulation problems are at a higher risk.

Cover up! All parts of your body should be covered when you go out in the cold. If your skin turns red or dark or starts hurting, go inside right away.

Warning signs of frostbite include skin that’s white or ashy or grayish-yellow, skin that feels hard or waxy, and numbness. If you think you or someone else has frostbite, call for medical help immediately.

INJURY WHILE SHOVELING SNOW

It’s one of the evils of winter - snow shoveling. Just make sure that if you choose to shovel, you take some precautions. Remember, when it’s cold outside, your heart works double time to keep you warm. Strenuous activities like shoveling snow may put too much strain on your heart, especially if you have heart disease. Shoveling can also be dangerous if you have problems with balance or have osteoporosis. Ask your healthcare provider whether shoveling or other work in the snow is safe for you.

FALLS

It is easy to slip and fall in the winter, especially in icy and snowy conditions.

PRECAUTIONS TO TAKE

Make sure steps and walkways are clear before you walk. Be especially careful if you see wet pavements that could be iced over.

Clear away snow and salt your walkways at home, or hire someone to do it.

Wear boots with non-skid soles - this will prevent you from slipping.

If you use a cane, replace the rubber tip before it is worn smooth.

Consider an ice pick-like attachment that fits onto the end of the cane for additional traction.

FIRES & CARBON MONOXIDE POISONING

During the winter months, it is common to use the fireplace or other heating sources, such as natural gas, kerosene, and other fuels. Unless fireplaces, wood and gas stoves and gas appliances are properly vented, cleaned, and used, they can leak dangerous amounts of carbon monoxide-a deadly gas that you cannot see or smell. These and other appliances, such as space heaters, can also be fire hazards.

Warning Signs:

Blurred vision

Confusion

Dizziness

Headache

Loss of consciousness

Nausea or vomiting

Weakness

If you think you may have carbon monoxide poisoning, get into fresh air and get medical care immediately.

PRECAUTIONS TO TAKE

Call an inspector to have your chimneys and flues inspected - preferred annually.

Place smoke detectors and battery-operated carbon monoxide detectors in strategic places - especially in areas where you use fireplaces, wood stoves, or heaters.

Make sure space heaters are at least 3 feet away from anything that might catch fire, such as curtains, bedding, and furniture.

Never try to heat your home using a gas stove, charcoal grill, or another stove not made for home heating.

If there is a fire, don't try to put it out. Leave the house and call 911.

ACCIDENTS WHILE DRIVING

Adults 65 and older are involved in more car accidents per mile driven than those in nearly all other age groups. Winter is an especially important time to be vigilant when driving because road conditions and weather may not be optimal.

PRECAUTIONS TO TAKE

“Winterize” your car before the bad weather hits! This means having the antifreeze, tires, and windshield wipers checked and changed if necessary.

Remember your cell phone when you drive in bad weather, and always let someone know where you are going and when you should be expected back.

Avoid driving on icy roads, and be especially careful driving on overpasses or bridges. Consider alternate routes, even if it means driving a longer distance if the more direct route is less safe. Often bigger roads are cleared of snow better than smaller roads.

Stock your car with basic emergency supplies such as:

Blankets

Booster cables

Extra warm clothes

First aid kit

Flashlight

Map

Rock salt or a bag of sand or cat litter (in case your wheels get stuck)

Exposure to winter’s dry, cold air and chilly rain, sleet, and snow can cause chapped paws and itchy, flaking skin, but these aren’t the only discomforts pets can suffer. Winter walks can become downright dangerous if chemicals from ice-melting agents are licked off of bare paws.

Here are a few tips to help prevent cold weather dangers from affecting your pet’s health:

Repeatedly coming out of the cold into the dry heat of your home can cause itchy, flaking skin. Keep your home humidified and towel dry your pets as soon as they come inside, paying special attention to their feet and in-between the toes. Remove any snowballs from between their foot pads.

Never shave your dog down to the skin in winter, as a longer coat will provide more warmth. If your dog is long-haired, simply trim him to minimize the clinging ice balls, salt crystals and de-icing chemicals that can dry his skin, and don’t neglect the hair between his toes. If your dog is short-haired, consider getting him a coat or sweater with a high collar or turtleneck with coverage from the base of the tail to the belly. For many dogs, this is regulation winter wear.

Bring a towel on long walks to clean off stinging, irritated paws. After each walk, wash and dry your pet’s feet and stomach to remove ice, salt and chemicals-and check for cracks in paw pads or redness between the toes.

Bathe your pets as little as possible during cold spells. Washing too often can remove essential oils and increase the chance of developing dry, flaky skin. If your pooch must be bathed, ask your vet to recommend a moisturizing shampoo and/or rinse.

Massaging petroleum jelly or other paw protectants into paw pads before going outside can help protect from salt and chemical agents. Booties provide even more coverage and can also prevent sand and salt from getting lodged between bare toes and causing irritation. Use pet-friendly ice melts whenever possible.

Like coolant, antifreeze is a lethal poison for dogs and cats. Be sure to thoroughly clean up any spills from your vehicle, and consider using products that contain propylene glycol rather than ethylene glycol.

Pets burn extra energy by trying to stay warm in the wintertime. Feeding your pet a little bit more during the cold weather months can provide much-needed calories, and making sure she has plenty of water to drink will help keep her well-hydrated and her skin less dry. **Always consult your veterinarian before changing your pet's diet.**

Make sure your companion animal has a warm place to sleep, off the floor and away from all drafts. A cozy dog or cat bed with a warm blanket or pillow is perfect.

Remember, if it’s too cold for you, it’s probably too cold for your pet, so keep your animals inside. If left outdoors, pets can freeze, become disoriented, lost, stolen, injured or killed. In addition, don’t leave pets alone in a car during cold weather, as cars can act as refrigerators that hold in the cold and cause animals to freeze to death.

Is your home ready for the cold weather? Here are some tips to help you winterize your home, keeping the cold out and the heat in:

Winterize your home to extend the life of your fuel supply by insulating walls and attics, caulking and weather-stripping doors and windows, and installing storm windows or covering windows with plastic.

Winterize your house, barn, shed or any other structure that may provide shelter for your family, neighbors, livestock or equipment. Clear rain gutters; repair roof leaks and cut away tree branches that could fall on a house or other structure during a storm.

Maintain heating equipment and chimneys by having them cleaned and inspected every year.

Insulate pipes with insulation or newspapers and plastic and allow faucets to drip a little during cold weather to avoid freezing. Running water, even at a trickle, helps prevent pipes from freezing.

All fuel-burning equipment should be vented to the outside and kept clear.

Keep fire extinguishers on hand, and make sure everyone in your house knows how to use them. House fires pose an additional risk, as more people turn to alternate heating sources without taking the necessary safety precautions.

Learn how to shut off water valves (in case of a pipe burst).

Insulate your home by installing storm windows or covering windows with plastic from the inside to keep cold air out.

Hire a contractor to check the structural ability of the roof to sustain unusually heavy weight from the accumulation of snow - or water, if drains on flat roofs do not work.

*Tips provided by ready.gov for more snowstorm and extreme cold information visit the Ready.gov website.

Install good winter tires - Make sure the tires have adequate tread. All-weather radials are usually adequate for most winter conditions. However, some jurisdictions require that to drive on their roads, vehicles must be equipped with chains or snow tires with studs.